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Family medicine residents need specialized border health training (BHT) due to unique healthcare challenges. Survey results show strong interest in BHT, with specific needs in language, medical knowledge, and cross-cultural care.

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Area of Science:

  • Medical Education
  • Public Health
  • Family Medicine

Background:

  • The U.S.-Mexico border presents distinct healthcare challenges stemming from structural factors.
  • Effective healthcare delivery requires providers trained to overcome these barriers.
  • Family medicine has established training methods for specialized content beyond core curricula.

Purpose of the Study:

  • To assess the perceived need, interest, content, and duration of border health training (BHT) for family medicine residents.
  • To evaluate the appeal and feasibility of various BHT modalities.
  • To compare opinions on training formats among participants from border regions, border states, and the rest of the U.S.

Main Methods:

  • Electronic surveys were distributed to family medicine trainees, faculty, and community physicians.
  • Participants provided feedback on the appeal, feasibility, preferred content, and duration of BHT.
  • Response analysis compared perspectives based on geographic location (border region, border states, rest of U.S.).

Main Results:

  • 74% recognized the uniqueness of border primary care, and 79% saw a need for specialized BHT.
  • Top training areas identified: language (86%), medical knowledge (82%), care of asylum seekers (74%), cross-cultural ethics (72%), and advocacy (72%).
  • Residents favored short-term rotations, while faculty suggested postgraduate fellowships.

Conclusions:

  • A clear need and significant interest exist for developing diverse BHT programs.
  • Varied training experiences can attract broader engagement in border health.
  • Training development should prioritize maximizing benefits for border communities.